Dr. Nina

Radiologist, Pune

Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.

More about Dr. Nina

Dr. Nina is a renowned Radiologist in Shukrawar peth, Pune. You can consult Dr. Nina at Alpha Multispeciality Diagno Centre & Clinic Pvt Ltd in Shukrawar peth, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Nina on Lybrate.com.

Lybrate.com has top trusted Radiologists from across India. You will find Radiologists with more than 34 years of experience on Lybrate.com. You can find Radiologists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Hello,
Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them .
I will advise to check your vit B12 and vit D3 level.
Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

The report is not very worrisome coz there is no nerve compression .But you should be careful ,follow your exercise routine and treatment properly.
Do spine extension exercises.
Do not lift weights.
Take calcium supplements.
Take anti-inflamatory medication when needed.

Cancer that originates in the bones of a human body is referred to as bone cancer. Any bone could come under the threat of this disease, but generally the longer bones of your body, so to say the bones of your limbs, are at a greater risk.

A few factors that might push you an inch closer to bone cancer are:

Genes could jinx your health: a few typical genetic syndromes could increase a person's chances of contracting bone cancer. These syndromes could have been active in any person belonging to your lineage. One such syndrome is li-fraumeni. Treatment for one kind of cancer can make you prone to some other kind: radiation affects your bones adversely. A patient of breast cancer might be undergoing radiation therapy that further increases his or her risk of contracting bone cancer in future. Paget's disease can have unfavorable implications: paget's disease is a disease that affects elderly people. This condition, if left untreated, can turn into bone cancer at a later stage.

Several symptoms of bone cancer can be found below:

Sudden loss of weight: if you lose a considerable amount of weight in a few weeks time without having made any effort at all, you should probably be worried about the health of your bones. Bone cancer can result in sudden and unintentional weight loss. Unexpected bone fracture or breakage: cancer of the bones is known to gnaw at the strength of your bones. Weakened and diseased bones can break or get fractured very easily. An unexpected fracture should not be overlooked so as to prevent chances of anything more harmful. Long spans of unyielding exhaustion: constant fatigue and sleepiness might be hinting at a more serious underlying problem. The bones in your body hold you together; cancerous bone cells can make you feel exhausted without much exertion as your bones lose their inherent potency. Persistent pain in the bones: excruciating cramps or pangs of stinging pain in a person's bones either continuously or at odd hours, could be indicative of bone cancer. Such instances require the advice and guidance of an experienced oncologist. Bone swelling: the area affected by bone cancer can grow big and tender or the bone itself can swell up.

Kindly show me digital x rays of ls spine.
Not all patients of backache need surgery. Most of them can be managed without operation.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
use no pillow under the head.
Do hot fomantation.
Ibuprofen 200mg od & sos x 5days
bio d3 max 1tab od x10
do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

First take rest for few days,avoid bending forward,lifting,sitting unsupported for long time,use a lumbar support for sitting or standing,take physiotherapy for pain relief and gradually start back exercises.

It seems that you are having multiple disc herniation. I cannot comment unless I see you MRI but definitely you having at least two slipped disc at L4/5 & L5/S1. These days non surgical treatment are available like TFSI, Disc Fix and Percutaneous Endoscopic Lumbar Discectomy (PLED) done under Local anaesthesia, no blood loss, no stich required, patient walks within next few days. We will provide you detailed information if you wish or you may see on website. I may need your blood inv. Like TLC/DLC/ESR/CRP/HLA B-27 before giving further opinion.

Hi,
thanks for writing in to us. It is possible that the disc bulge might have increased in severity recently. Please get a repeat mri scan done and discuss the findings please. It is possible that you might get relief through physical therapy or mild pain relief medications. If there is no relief with medicines then there is the option of steroid injection and radio frequency nerve block procedure. Surgery is the last resort and done only in extreme cases. Please do not worry. Regards,

Uterine fibroids, also known as leiomyoma or myoma, are benign growths on the uterus, occurring mostly during the years of childbearing. Few of the common symptoms of fibroids are leg pain or backache, constipation, difficulty in emptying the bladder, frequent urination, pain or pressure in the pelvic region, menstrual periods stretching over a week and excessive menstrual bleeding.

Causes:

Certain genetic changes of the uterus which are different from the ones normally present in the muscle cells of the uterus can cause this disorder.

Certain hormones such as progesterone and estrogen that prepare the body for pregnancy are even responsible for triggering the development of fibroids.

Substances which help the body maintain its tissues trigger fibroid growth as well.

Family history, excessive consumption of alcohol and red meat while going low on foods such as dairy products, fruits, green vegetables and vitamin D, obesity, usage of birth control pills and early onset of the menstruation cycle are other factors that may escalate the risks of one suffering from fibroids.

Treatment:

Be careful and take a closer look: Fibroids are fundamentally non-cancerous and they hardly interfere with pregnancy. Often, they do not exhibit notable symptoms and are prone to shrinkage after menopause. Hence giving them and yourself some time might be the best option.

Medications generally aim at the hormones controlling the menstrual cycle and treating symptoms such as pelvic pressure and excessive menstrual bleeding. However, they do not treat fibroids completely but work towards contracting them. They include-

Gonadotropin-releasing hormone (Gn-RH) agonists to block estrogen and progesterone production

Depending on symptoms and whether medical therapy has failed, the patient may have to undergo surgery. The following surgical procedures may be considered:

Hysterectomy: removing the uterus. This is only considered if the fibroids are very large, or if the patient is bleeding too much. Hysterectomies are sometimes an option to prevent fibroids coming back.

Myomectomy: fibroids are surgically removed from the wall of the uterus. This option is more popular for women who want to get pregnant.

Endometrial ablation: removing the lining of the uterus. This procedure may be used if the patient's fibroids are near the inner surface of the uterus; it is considered an effective alternative to a hysterectomy.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
It is good that you have actually mentioned mri report of your mother which shows degenerative changes in spine with degenerative discs at multiple levels and ligamentum hypertrophy.
But since we have to treat the patient and not mri, please elaborate her problem as to a detailed discussion of back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any leg pain or any other neurological symptoms like numbness, paraesthesias (electrical shock like abnormal sensations) or any weakness in limbs.
Please also tell me about any associated symptoms like fever, weight loss etc.
What medications she generally takes and what has been her treatment history till now for existing problem. Do not hesitate to contact me if you need any further assistance.

Kindly show me digital x rays ofls spine.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
use no pillow under the head.
Do hot fomantation.
Ibuprofen 200mg od & sos x 5days
bio d3 max 1tab od x10
do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
Do reply back for detailed treatment plan. Do not ignore. It could be beginning of a serious problem.

(A) Sleep on a hard bed with soft bedding on it.
(B) Use no pillow under the head.
(C) Kindly take
BioD3 Max 1 tab dailyx10
Paracetamol 250mg OD & SOS x5days (D) Do back(spine)/shoulder/knee exercises
(E)Make sure you are not allergic to any of the medicines you are going to take
(F) Do not ignore it.
It could be beginning of a serious problem.
(G) If no relief in 4_5 days,then contact me again.
(H) Contact your family doctor or nearest hospital for emergency help.

Kindly show me a photograph of the affected part.
Rule out diabetes & vit. D deficiency or any other metabolic disorder.
Sleep on a hard bed with soft bedding on it. Spring beds, folding beds or thick matress are harmful
Do hot fomantation.
Paracetamol 250mg od & sos x 5days.
Caldikind plus 1tab od x10.
Do neck, back & general exercises.
It may have to be further investigated.
You will need other supportive medicines also.
Make sure you are not allergic to any of the medicines you are going to take.
If it does not give relief in 4-5days, contact me again. Do not ignore. It could be beginning of a serious problem.

Core strengthening exercises- straight leg raised with toes turned outward, repeat 10 times, twice a day.
Back stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Hello lybrate user, thanks for writing. If you want fast, permanent weight loss, you can try our research oriented holistic medicines for assures results. You can lose up to 10 kg weight per month, without crush dieting, with out side effect, without gym, without surgery. Tips for you:
1. Eat plenty vegetable and fruits. 2. Drink 9 glass of water per day. 3. Avoid dieting for weight loss. 4. Avoid oily thing. 5. Have 5to 6 servings of food per day. If you have any questions you can contact us by lybrate.

If she has difficulty in getting up and walking than she needs to be operated by a spinal surgeon or physiotherapy treatment will help her and headache and bodypain is different and for pain take tablet paracetamol 650 mg and I will suggest her to take tablet orofer-xt once a day after food for three months.